The significance for diagnosis and for surgical technique of multiple aneurysms of the same internal carotid artery

Jefferson, Antony

doi:10.1007/bf01809134

Cited by 41 publications

(34 citation statements)

References 3 publications

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“…Jefferson et al 1) first reported five cases of KA mutually contacting the same internal carotid artery in 1978, and in 1984, Yasargil 2) named two aneurysms occurring upon mutually contacting the same internal carotid artery KA. because the first placed coil was in the way when embolizing the second aneurysm following embolization of the first aneurysm, making it difficult to confirm the branch as well as making identification of the neck and parent blood vessel of the second aneurysm difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Kissing aneurysms (KAs) are caused when two aneurysms with different cervixes mutually contact each other, having first been reported by Jefferson et al in 1978. 1) In 1984, Yasargil 2) named such aneurysms as KAs.…”

Section: Introductionmentioning

confidence: 99%

“…1) In 1984, Yasargil 2) named such aneurysms as KAs. They are relatively rare, observed in 0.2%-0.9% of all cerebral aneurysms, and it is believed that posterior communicating aneurysms and anterior choroidal aneurysms are the most commonly observed.…”

Section: Introductionmentioning

confidence: 99%

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Single-stage Coil Embolization for Kissing Aneurysms of the Internal Carotid Artery Using Enterprise Stent: Three Cases Reports

Wada

Takayama

Taoka

et al. 2018

JNET

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Purpose: Kissing aneurysms (KAs) are caused by the rare incidence of two aneurysms with different cervixes mutually contacting each other, with craniotomy surgical clipping having been reported as difficult. The objective was to investigate the treatment outcome of single-stage coil embolization using an Enterprise stent for internal carotid artery KA. Materials and Methods:The subjects consisted of three cases and six aneurysms (women: two cases, age:42-70 years old, average: 55.7 years old) that underwent single-stage coil embolization using an Enterprise stent. Localization of the aneurysms was as follows: internal carotid artery-ophthalmic arterial bifurcation and internal carotid artery (C3): one case; internal carotid artery-posterior communicating arterial bifurcation and anterior choroidal arterial bifurcation: two cases; wherein, the maximum aneurysm diameter was 2.8-7.6 mm (average: 5.1 mm). The technical success rate, the presence of perioperative complications, the degree of embolus follow-up cerebral angiography after treatment (4-6 months, average: after 4.7 months), and more than 3 years follow-up contrast-enhanced magnetic resonance angiography (after 3.4-4.1 years, average: after 3.7 years) were assessed. Results:Coil embolization was successful in all cases, with no observation of perioperative complications. Upon followup angiography, complete occlusion (CO) was observed in all three cases and six aneurysms. Conclusion:The initial treatment outcome of single-stage coil embolization for carotid KA using an Enterprise stent was good.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Single-stage Coil Embolization for Kissing Aneurysms of the Internal Carotid Artery Using Enterprise Stent: Three Cases Reports

Wada

Takayama

Taoka

et al. 2018

JNET

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“…Eighteen cases of kissing aneurysms including the present case have been reported 2,3,[5][6][7][8][9] (Table 1). Four patients were males and 14 were females, aged from 26 to 59 years (mean 44.7 yrs) with SAH and 21 to 60 years (mean 46.3 yrs) without SAH.…”

Section: Discussionmentioning

confidence: 99%

“…This particular type of multiple aneurysms requires caution in diagnosis and surgical management. 2) Kissing aneurysms are sometimes misinterpreted as the bleb of an aneurysmal dome or atherosclerotic single multiloculated aneurysm. A large series of intracranial aneurysms identified two of 1012 cases (0.2%) with kissing aneurysms.…”

Section: Introductionmentioning

confidence: 99%

Kissing Mirror Image Anterior Communicating Artery Aneurysms. Case Report.

Wanifuchi

Shimizu

Higa

et al. 2001

Neurol. Med. Chir.(Tokyo)

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A 45-year-old male presented with an extremely rare case of symmetrical kissing aneurysms located at the both ends of the anterior communicating artery. Angiography and three-dimensional computed tomography (3D-CT) angiography clearly showed the relationship of the kissing aneurysms. The aneurysms were clipped through the right pterional approach. Temporary clipping of the anterior cerebral arteries for 5 minutes was required to gain enough operative space. The patient was discharged without neurological deficits. 3D-CT angiography, magnetic resonance angiography, or rotatory digital subtraction angiography may be useful for detecting kissing aneurysms, but the most important issue is awareness of this unusual condition.

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Familial Association of Intracranial Aneurysms and Multiple Congenital Anomalies

Berg¹,

Bijlsma²,

Veiga³

et al. 1986

Archives of Neurology

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Objectives: There exists many embryological steps during the development of intracranial vascular structures. Therefore, the congenital variations and anomalies of these structures are often encountered. For a proper evaluation of cerebrovascular imaging studies it is essential to know the frequencies of these anomalies and variations, their locations and the possible accompanying patologies should be distinguished. We aimed to analyse the frequency of congenital variations and anomalies and their association with intracranial aneurysms by evaluating the cerebral angiographic images. Methods: The cerebral angiograms taken for various reasons in the Radiology Department, Faculty of Medicine, Gaziosmanpasa University, between January 2007 and April 2009, were evaluated in a retrospective fashion. We investigated the association of intracranial aneurysms and congenital variations in addition to the influence of variations on aneurysm formation. A total of 254 cases with intracranial artery variation-anomaly and coexisting intracranial artery aneurysm were included in the study. Results: The most common variation in intracranial arteries was the agenesis or hypoplasia of the A1 segment of anterior cerebral artery. This was followed infundibular dilatation of posterior communicating artery and fetal type posterior cerebral artery. The incidence of aneurysm was 22.5% in patients who had A1 hypoplasia-agenesia and 18.2% in patients who had trifurcation of middle cerebral artery. Conclusion: Flow haemodynamics take an important part in the formation of intracranial saccular aneurysms. The incidence of aneurysm formation increases in congenital anomalies of intracranial vascular structures. It is necessary to explore the relationship between variations and aneurysms in order to understand the haemodynamic factors which take place in the pathogenesis of aneurysms. These ratios lead us to think that the incidence of aneurysms increases in cases which have variations when compared to those which have not.

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The significance for diagnosis and for surgical technique of multiple aneurysms of the same internal carotid artery

Cited by 41 publications

References 3 publications

Single-stage Coil Embolization for Kissing Aneurysms of the Internal Carotid Artery Using Enterprise Stent: Three Cases Reports

Single-stage Coil Embolization for Kissing Aneurysms of the Internal Carotid Artery Using Enterprise Stent: Three Cases Reports

Kissing Mirror Image Anterior Communicating Artery Aneurysms. Case Report.

Familial Association of Intracranial Aneurysms and Multiple Congenital Anomalies

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